State Resource Center

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Characteristics of Medicare Fee-for-Service Beneficiaries and Providers Impacted by Proposed CY2024 HCC Model

On February 1, 2023, CMS released the Advance Notice of Methodological Changes for Calendar Year (CY) 2024 for Medicare Advantage (MA) that proposed several changes to the Hierarchical Condition Category (HCC) model.
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Work

Ensuring Equity and Fairness in Medicare Advantage Quality Measurement

The Medicare Health Outcomes Survey (HOS) aims to gather meaningful self-reported data from Medicare Advantage (MA) beneficiaries to measure health plan quality performance. As Congress and CMS seek to advance health equity and to better understand and quantify the quality of care received by Medicare beneficiaries, this report outlines recommendations to address the shortcomings of the HOS and modernize it to better reflect and understand the changing Medicare population.
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Insights

Healthcare At Home Needs Platforms to Aggregate and Connect Patients and Providers

Healthcare providers are adapting in response to technologies enabling remote work, staffing shortages, patient preferences, and the competitive landscape of inpatient care.
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News

Is Medicare-Medicaid Integration Possible In A Fee-for-Service Environment?

Allison Rizer outlines in Health Affairs how states using Medicaid FFS to serve dual-eligible individuals can create a more integrated, financially sustainable program design.
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News

Expanding States’ Medicaid Capacity To Meet The Needs Of Medicare Beneficiaries, Including The Dually Eligible

Brianna Ensslin Janoski and Allison Rizer share their insights on California's Office of Medicare Innovation and Integration in Health Affairs.
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Insights

Accessing Mental Health Care in America Is Hard. If You’re One of the 89 Million Americans on Medicaid, It’s Even Harder

Future Medicare Advantage policy must consider more deliberate opportunities to support person-centeredness, to recognize the outsized role that family caregivers play, and to integrate with Medicaid to promote equitable access and health outcomes.
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